HomeMy WebLinkAboutDrain Layers Permit 389 Pleasant Valley TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _
South Windsor, Connecticut �Gc �lfl
List.No.: _
DRAIN LAYER"S PERMIT NO 920
8/27/75 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 389 Pleasant valley Road on the
side, between
at premises owned by Gladys Burnham
whose address is Same
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Residential
occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR
Connection will be made with Six Inch Plastic Pipe
Permit to be issued to Adam Wisniewski
the holder of Drain Layer's License No. W-9 206/88 Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 841 LicV�
ensed Drain Laye
8/26/75 Issued by Frank J. Smith
Tax Collector
Permit Fee: Paid $ _ 15'00
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR